Coddington, Dale A

Coddington, Dale A is an sole proprietor health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coddington, Dale A can be contacted via phone (202) 884-2123.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2978
Phone: (202) 884-2123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19753 District of Columbia

Profile Details

NPI number 1265514509
LBN Legal business name Coddington, Dale A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265514509 NPPES
Maryland MEDICAID 190621600
Maryland MEDICAID 6728111
Maryland MEDICAID 024363400

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